Thomas Helmstetter, - Medicare Physical Therapist in Wilkes Barre, PA

Thomas Helmstetter, is a medicare enrolled "Physical Therapist" provider in Wilkes Barre, Pennsylvania. His current practice location is 182 Butler St, Wilkes Barre, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 970-0402.

Thomas Helmstetter is licensed to practice in Pennsylvania (license number PT030813) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215650692.

Contact Information

Thomas Helmstetter,
182 Butler St,
Wilkes Barre, PA 18702-4465
(570) 970-0402
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameThomas Helmstetter
GenderMale
SpecialityPhysical Therapist
Location182 Butler St, Wilkes Barre, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215650692
  • Provider Enumeration Date: 09/21/2022
  • Last Update Date: 09/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2163808700
  • Enrollment ID: I20221004003670

Medical Identifiers

Medical identifiers for Thomas Helmstetter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215650692NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT030813 (Pennsylvania)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Thomas Helmstetter allows following entities to bill medicare on his behalf.
Provider NameElite Spine And Sports Physical Therapy
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1134468598
PECOS PAC ID: 6800032764
Enrollment ID: O20130419000030
Provider NameElite Spine And Sports Physical Therapy Lp
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1932810819
PECOS PAC ID: 0840664918
Enrollment ID: O20230314000386

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas Helmstetter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thomas Helmstetter,
182 Butler St,
Wilkes Barre, PA 18702-4465

Ph: () -
Thomas Helmstetter,
182 Butler St,
Wilkes Barre, PA 18702-4465

Ph: (570) 970-0402

Reviews and Comments


Physical Therapist in Wilkes Barre, PA

Annpat Sullivan, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 53 Gravel St, Wilkes Barre, PA 18705
Phone: 570-371-5600    
Ms. Susan H Barry, LPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 71 North Franklin Street, Wilkes Barre, PA 18701
Phone: 570-829-2453    Fax: 570-829-2462
Danielle Frank, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 182 Butler St, Wilkes Barre, PA 18702
Phone: 570-970-0402    
Thomas Redenski,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 440 N River St, Wilkes Barre, PA 18702
Phone: 570-831-8622    
Mrs. Carol W. Nicholson, PHYSICAL THERAPIST
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: Riverstreet Manor, 440 North Main Street, Wilkes Barre, PA 18702
Phone: 570-825-5611    
Kristen Digwood,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 182 Butler St, Wilkes Barre, PA 18702
Phone: 570-991-2082    
Rebecca Leonori, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 200 S Meade St, Wilkes Barre, PA 18702
Phone: 570-823-6131    Fax: 570-823-5171

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.